Hanoi 66-year-old male patient hospitalized due to back pain, weakness in both legs, doctors diagnosed with lung and colorectal cancer, with metastasis.
On January 9, Dr. Pham Cam Phuong, Director of the Center for Nuclear Medicine and Oncology, Bach Mai Hospital, said this was a rare case of lung cancer and rectal cancer, but the rectal cancer was in the late stage, with bone metastasis.
The family said the patient had a history of smoking, a cousin in the family had liver cancer, and no one else had lung or colorectal cancer. A month before being admitted to the hospital, he had pain in his lumbar spine, the pain gradually increased, continuously, and spread to both legs, leading to limited mobility and weakness in both legs. The patient was examined at the provincial hospital and found abnormal lesions, so he was transferred to Bach Mai Hospital for examination.
According to doctors, common cancers that damage bone marrow in men include lung, kidney, thyroid, multiple myeloma, melanoma, etc. The rate of lung cancer metastasizing to bone is very high, up to 20-30% at the time of initial diagnosis and 35-60% during treatment. The rate of colorectal cancer metastasizing to bone is only about 1.24%.
"However, in this patient's case, the lung tumor was relatively small, and the rectal tumor lesion had numerous lymph node metastases, and the CEA tumor marker was high," the doctor said.
The patient is currently in the late stage, with distant metastasis. The treatment goal is to prolong life and improve quality of life. Doctors prioritize treating the primary tumor that causes bone metastasis and anti-bone resorption therapy, combining chemotherapy and targeted drugs.
Doctors recommend that high-risk groups such as those over 50 years old, those who have smoked for many years, those who work in environments exposed to toxic chemicals, radioactive substances, or those with many family members with cancer, need regular health check-ups to prevent disease.
Thuy An
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